Precious Little One Child Care Center

591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Complaint Investigation & Licensing Study conducted on May 25, 2023 ; It was determined based on observation that the yellow and red slide located on a preschool playground was cracked posing a potential hazard to children.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Complaint Investigation & Monitoring Visit conducted on August 24, 2023 ; It was determined based on observation that the red slide located on a preschool playground was cracked posing a potential hazard to children. No preventative measures were observed to block children from using the slide.

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591-1-1-.26(6) · Rule 591-1-1-.26(6) requires that playground equipment provide an opportunity for the children to engage in a variety of experiences and shall be age-appropriate. For example, toddlers shall not be permitted to swing in swings designed for School-age Children. The outdoor equipment shall be free of lead-based paint, sharp corners and shall be regularly maintained in such a way as to be free of rust and splinters that could pose significant safety hazard to the children. All equipment shall be arranged so as not to obstruct supervision of children.

During a Complaint Closure conducted on September 8, 2023 ; It was determined based on an investigation that the red slide on the preschool playground had a crack spanning across the width of the slide, posing a hazard to children. No barriers were observed to prevent children from accessing the cracked slide. Exhibit "A"

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm¶s length away from children thirty- six (36) months of age and younger.

During a Complaint Investigation Follow Up conducted on August 29, 2022 ; It was determined based on observation that a four-year-old child left the playground, walked inside of a classroom, left out of the classroom to go to the restroom alone in the hallway. After the four-year-old was finished in the restroom, the child left the restroom in the hallway, entered a classroom and went back outside without staff supervision. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm¶s length away from children thirty- six (36) months of age and younger.

During a Complaint Closure conducted on November 17, 2022 ; It was determined based on a complaint investigation that on September 27, 2022, a one-year-old child was observed upon pick up to have sustained an injury to the head and face and staff did not have knowledge or an incident report as to how the child sustained the injury. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. "Supervision" means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers and Students-in-Training. The persons supervising in the child care area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children's actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm¶s length away from children thirty- six (36) months of age and younger.

During a Complaint Closure conducted on May 25, 2023 ; It was determined based on an investigation that on May 7, 2023, center staff failed to maintain watchful oversight when a one-year-old child climbed onto a table and fell off the table without injury. It was reported that the staff member's back was turned away from the view of the one-year-old while performing diapering procedures. Exhibit "A"

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Investigation Follow Up conducted on August 29, 2022 ; It was determined based on observation that there were 17 three-year-old children present with one staff member, when two staff members were required in classroom G-2L. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Closure conducted on August 29, 2022 ; It was determined based on staff statements and interviews that there were seventeen two-year-old children present with one staff member, in the two-year-old classroom on August 23, 2022, when two staff members were required. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Investigation Follow Up conducted on October 12, 2022 ; It was determined based on observation that there was one staff member present with nine one-year-old children in classroom B 2R, when two staff members were required. An adverse action was previously issued for this rule violation. This rule violation is no longer appealable. No fine is being issued at this time.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Closure conducted on February 2, 2023 ; It was determined based on an investigation that on January 26, 2023, one staff member was alone and caring for 20 four-year-old children for thirty minutes. A ratio of 2:20 was required Exhibit "A"

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children shall be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. “Supervision” means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers, and Students-in-Training. The persons supervising in the childcare area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children’s actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.

During a complaint investigation, it was determined that on September 27, 2022, a one-year-old child was observed to have a bruise and swelling to the right side of the forehead with scratches to the right side of the eye and cheek. Staff stated no one observed the child to fall down or how the child sustained the injury. The one-year-old child was taken for professional medical care and was diagnosed with a contusion to the forehead and facial abrasions. The director and staff members did not have any knowledge of how or when the child sustained the injury and no report was provided to the parent.

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591-1-1-.32(7) · Rule 591-1-1-.32(7) requires that children shall be supervised at all times appropriate to the individual age, needs and capabilities of each child. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. “Supervision” means that the appropriate number of Staff members are physically present in the area where children are being cared for and are providing watchful oversight to the children, volunteers, and Students-in-Training. The persons supervising in the childcare area must be alert, positioned to maximize their ability to hear and see the children at all times, and able to respond promptly to the needs and actions of the children being supervised, as well as the actions of the volunteers and Students-in-Training, and provide timely attention to the children’s actions and needs. Staff shall be attentive and participating with all children during mealtimes and shall be seated within an arm’s length away from children thirty-six (36) months of age and younger.

During a complaint investigation follow-up, it was determined that on August 29, 2022, based on observation that a four-year-old child left the playground, walked inside of a classroom, left out of the classroom to go to the restroom alone in the hallway. After the four year old was finished in the restroom, the child left the restroom in the hallway, entered a classroom and went back outside without staff supervision.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes i.e., open to closed or temporarily closed and temporarily closed to open.

During an investigation, it was determined that the center was notified by parents on September 28, 2022, that professional medical care was obtained for a one-year-old child who sustained an injury at the center. There was no required report submitted to the department as required. Staff stated they were notified of the child's injury on September 27, 2022, and that the parent was taking the child for professional medical care. Staff further stated on September 28, 2022, the parent provided follow up from the physician regarding the injury sustained. According to evidence obtained, the staff indicated that they did not submit a required report to the department as required.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporarily closed and temporarily closed to open).

During an investigation it was determined that on June 17, 2022, a two-year-old child tripped, fell, and hit their chin on the floor. Professional medical attention was obtained, and the center did not report the incident to the Department as required.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Licensing Study conducted on June 28, 2022 ; It was determined based on observation that the fencing material on the preschool playground presented a hazard to children. Furthermore, the consultant observed the bottom rail on the playground fence closest to the school's parking lot was detached from the bottom post with nails exposed.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Complaint Investigation Follow Up conducted on August 29, 2022 ; It was determined based on observation that the fencing material on the preschool playground presented a hazard to children. Furthermore, the consultant observed the bottom rail on the playground fence closest to the school's parking lot was detached from the bottom post with nails exposed.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Complaint Investigation Follow Up conducted on September 21, 2022 ; It was determined based on observation that on the preschool playground, the fence beside the parking lot had a pole at the bottom of the fence that was detached from the fence with exposed screws.

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591-1-1-.26(4) · Rule 591-1-1-.26(4) requires that playgrounds be protected from traffic or other hazards by a (4) four foot high fence or other barrier approved by this Department. Fencing material shall not present a hazard to children and shall be maintained so as to prevent children from leaving the playground area by any means other than through an approved access route. Fence gates shall be kept closed except when persons are entering or exiting the area.

During a Complaint Investigation Follow Up conducted on October 12, 2022 ; It was determined based on observation that the following areas of fencing were not in good repair: -Preschool playground, the fence beside the parking lot had a pole at the bottom of the fence that was detached from the fence with exposed screws, gap measuring more than three and a half inches was present between the gates, chipping paint observed present on the poles of fencing -Infant playground: gap measuring more than three and a half inches was present between the gates.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Investigation Follow Up conducted on August 29, 2022 ; It was determined based on observation that there were 17 three-year-old children present with one staff member, when two staff members were required in classroom G-2L.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Closure conducted on August 29, 2022 ; It was determined based on staff statements and interviews that there were seventeen two-year-old children present with one staff member, in the two- year-old classroom on August 23, 2022, when two staff members were required.

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591-1-1-.32(1) · Rule 591-1-1-.32(1) requires the Center to maintain the required Staff:child ratios as follows: under 1 year or under 18 months if not walking = 1:6; 1 year and walking = 1:8; 2 years = 1:10; 3 years = 1:15; 4 years = 1:18; 5 years = 1:20;and 6 years and older = 1:25. A Center must establish groupings of children for care with maximum group sizes as follows: under 1 year = 12; under 18 months/not walking = 12; 1 year and walking = 16; 2 years = 20; 3 years = 30; 4 years = 36; 5 years = 40; and 6 years and older = 50.

During a Complaint Investigation Follow Up conducted on October 12, 2022 ; It was determined based on observation that there was one staff member present with nine one-year-old children in classroom B 2R, when two staff members were required. Exhibit "A"

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591-1-1-.03(9) · Rule 591-1-1-.03(9) requires center staff to refrain from engaging in, or allowing children or other adults to engage in, activities that could be detrimental to a child's health or well-being, such as but not limited to, horse play, rough play, wrestling, and picking up a child in a manner that could cause injury.

During an investigation it was determined that on June 17, 2022, center staff allowed a two-year-old child to run in the classroom resulting in the child sustaining a laceration to the chin when the child fell and hit their chin on the floor. The staff member did not physically intervene to stop the child from running. Professional medical attention was obtained, and the two-year-old child received five stitches to the chin.

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591-1-1-.22 · Rule 591-1-1-.22 requires the Center to permit the custodial Parent(s) of the child access to all child care areas of the Center at any time the child is in attendance. The custodial Parent(s) shall make his or her presence known to Center Staff prior to removing the child from the Center.

During an investigation it was determined that on June 17, 2022, center staff only allowed a parent access to the lobby when a two-year-old tripped, fell, and hit their chin on the floor. Professional medical attention was required. The parent was not allowed access to all child care areas of the Center as required.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporarily closed and temporarily closed to open).

During an investigation it was determined that on June 17, 2022, a two-year-old child tripped, fell, and hit their chin on the floor. Professional medical attention was obtained, and the center did not report the incident to the Department as required.

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591-1-1-.32(2) · Rule 591-1-1-.32(2) requires the Center maintain Staff:child ratios in mixed-age groups based on the age of the youngest group of children that includes more than twenty percent of the total number of children in the mixed age group.

During an investigation it was determined that center staff failed to maintain adequate staff:child ratios. A staff member cared for three one-year-old children, five two-year-old children, three three-year-old children, and four four-year-old children alone on June 17, 2022, when a two-year-old child tripped, fell, and hit their chin. Professional medical attention was required. A ratio of 2:15 was required.

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591-1-1-.32(4)(a) · Rule 591-1-1-.32(4)(a) requires that for Centers with a licensed capacity of 19 or more, children under three (3) years of age shall be housed in separate physical areas from older children and cannot be mixed with older children except at the following times and circumstances: During early morning times of arrival and late afternoon times of departure, infants and children younger than three (3) years may be grouped with older children so long as Staff:child ratios and group size are met based upon the age of the youngest child in the group.

During an investigation it was determined that children under three years of age were not housed in a separate area from older children after the first hour of the day during early morning arrival. The center opens at 6:00 a.m. and children of all ages were still housed together at 7:20 a.m. when a two-year-old child tripped, fell, and hit their chin.

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